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Assessment results of anesthesia resuscitation of Covid-19 patients with emergency surgical instructions at Duc Giang general hospital |
To report the clinical and radiological result after corrective reduction follow by Lenke's technique at adolescent idiopathic scoliosis patient. |
Subject and method: During the time from 2009 to 2022 at the Department of Spine Surgery, 108 Military Central Hospital, there were 120 patients adolescent idiopathic scoliosis, who was operated by segmental posterior instrumentation and reduction by Lenke technique. |
In the sagittal plane, the pre-operative mean thoracic kyphosis angle 18.87 degree was corrected to 23.16 degree. |
The shoulder balance pre-operative mean 0.92 cm was corrected to 0.3 cm with p<0.001. |
Efficacy of first-line palliative chemotherapy using epirubicin, oxaliplatin, capecitabine in advanced stage gastric cancer patients at the hospital of Hue university of medicine and pharmacy and cancer center at Hue central hospital |
This study aims to investigate the characteristics of Covid-19 patients who are indicated for emergency surgery through the application of anesthesia and evaluation of treatment results 30 days after surgery of this group of patients. |
2 patients died from Covid-19 (1.4%), 98.6% of patients recovered and were discharged from the hospital. |
The rate of Covid-19 infection of medical staff in the operating room area is 2% (1/50 staff). |
Conclusion: Through a study of 142 patients infected with Covid-19 who were indicated for emergency surgery, 69% of patients received at least one dose of the vaccine. The proportion of patients with no symptoms, severe symptoms, and critical illness accounted for the same proportion 14.1%, 4.2% and 3.5%. |
Obstetric and gynecological surgery accounted for 70.4%, spinal anesthesia and general anesthesia accounted for 54.9% and 45.1% respectively. |
The rate of patients who died from Covid-19 in the first 30 days was 1.4%. |
Method: We conducted a retrospective analysis of the data of 142 Covid-19 patients identified by PCR test with indications for emergency surgery at the Anesthesia and Resuscitation Department of Duc Giang General Hospital. |
The patients in our study were classified according to the ASA classification (American Society of Anesthesiology), the severity of Covid-19 according to decision number 250 of the Ministry of Health. |
The clinical characteristics, history of vaccination, the extent of lung injury on X-ray, and the patient's postoperative course were evaluated and recorded. |
Results: Of the 142 Covid-19 patients who were indicated for emergency surgery, 31% had not been vaccinated, 20 patients (14.1%) had no symptoms, 6 patients (4.2%) were severe, and 5 patients had symptoms critical (3.5%). |
The proportion of ASA I, and II accounted for 74.6% and 14.1%, respectively. |
Lesions on chest X-ray: none 55.6%, mild 28.9%, moderate 8.5% and severe 7%. |
Obstetric and gynecological surgery accounted for 70.4%. |
After surgery, the rate of patients breathing oxygen on their own was 76.1%, HFNC breathing at 18.3%, and needing mechanical ventilation outside 24 hours accounted for 5.6%. |
Reality of stress career in the nurser at Thai Binh children’s hospital in 2019 |
To describe the stress situation of nurses at Thai Binh Children's Hospital in 2019. |
Method: Design of Descriptive cross-sectional study, the study subjects were 145 nurses at Thai Binh Children's Hospital. Subjects self-fill information on stress status according to scale Expanded Nursing Stress Scale. |
Stress level is divided into 03 groups: low, medium, high. |
Results: Nurses in the research group have low stress levels. |
The lowest is when there are issues related to superiors (±SD = 1.52 ± 0.16) (lack of support from other leaders, conflicts with your chief nurse), issues related to nursing colleagues (±SD = 1.54 ± 0.12) (Difficult to work with heterosexual nurses, Lack of opportunity to share experiences and feelings with colleagues in the department), high most when there is a problem about the patient and the patient's family (±SD = 2, 11 ± 0.26) (unreasonable demands by patient / patient's families, must work with the family members of the patient who has insults). |
Rubber band ligation for treatment of bleeding internal hemorrhoids using flexible gastroscopy |
As a results, we can apply this for first line palliative chemotherapy on advanced stage gastric cancer which KPS ≥70%. |
Results: Patient's mean age was 54, 9; men / women was 2, 52/1. |
The most frequent clinical symptom reported was epigastric pain 81, 3%. |
KPS 80 - 90% presented in almost patient (93.3%). |
The most common site of cancer was pyloric antrum (61, 9%). |
58, 2% patients had distant metastasis disease which liver was the most frequent site. |
The overall response rate, partial response rate, complete response rate were 49, 2%, 42, 5%, 6, 7% respectively. |
Evaluation of patients’ anticoagulation knowledge among patients receiving vitamin K antagonists and various related factors |
The purpose of this study was the evaluation of the efficacy, clinical outcome complications with non-surgical treatment for intermediate grade (I, II and III) by endoscopic rubber band ligation (ERBL). |
Subjects and methods: A total 34 patients of mean age 45.7 years were underwent ERBL technique with the aid of a gastroscopy and a kit of elastic rubber bands for esophageal varices. All the patients were follow up and were evaluated technical and clinical efficiency and complications. |
Results: The obtained results showed that sixteen patients had grade I hemorrhoids, 10 patients had grade Ⅱ hemorrhoids and 8 patients had grade Ⅲ hemorrhoids. |
All the patients were observed with anal bleeding, in which 4 patients (19%) was observed with chronic complaints itching and 10 patients (47.6%) were observed with prolapse. |
Conclusions: The rubber band ligation using the flexible gastroscopy method was proved to be a feasible with advantages maneuverability, safe and efficient for the treatment of symptomatic hemorrhoid disease. |
Dementia status and related factors among the elderly in Binh Thanh commune, Duc Hue district, Long An province in 2019 |
Vitamin K antagonists (VKAs) are now widely used for the treatment and prevention of thromboembolism. |
However, complications associated with the use of VKAs are one of the causes that lead to frequent hospitalization. |
Meanwhile, the patients' knowledge of VKAs has influence on the effectiveness and safety of the treatment. |
Therefore, we conducted this study with two objectives: to describe the current state of patients' anticoagulation knowledge and analyze related factors of patients using VKAs at Vietnam National Heart Institute. |
The study was conducted on 132 patients, 53% male and 36% female; average age was 59.12; youngest was 19 years old and oldest was 89 years old. |
The average AKT (Anticoagulation Knowledge Tool) score was 9.58 ± 5.045, of which 70% of patients with poor knowledge, only 1% had good knowledge. |
Poor knowledge was related to education level and duration of VKAs administration with p < 0.05. |
Patients' knowledge about VKAs in this study was not sufficient to ensure the efficacy and safety of treatment. |
Botanical characteristics, DNA barcode and pharmacological activities of the leaves of Sauropus spatulifolius Beille |
Dementia is one of the major causes of disability and functional dependence among the elderly. |
People with poor sleep quality had a higher rate of dementia than people with good sleep quality. |
There is currently no cure for dementia, so preventive measures and early detection of the disease are of top priority, especially in remote and isolated areas where access to medical care is limited. |
This study aimed to describe dementia status and the factors related to dementia among the elderly in Binh Thanh commune, Duc Hue district, Long An province in 2019. |
A cross-sectional study was performed on 342 elderly people (≥60 years old). |
Information was collected through the MiniCog scale and structured questionnaires on socio-demographic characteristics, living habits and sleep quality. |
The results showed that the rate of dementia among the elderly is 33%. |
The proportion of the elderly who had poor sleep quality was 78.1%. |
The rate of dementia has gradually increased with age. |
When education level, frequency of exercise and frequency of participation in social activities increase, the rate of dementia decreases. |
Study of CYP3A5 genetic polymorphism in Vietnamese Kinh ethnic group |
Cam ũng (ưỡi nhân) has been used in folk medicine for the treatment of acute bronchitis, cough and sore throat, inflammatory symptoms and anticancer... but there have not many scientific reports. |
Objectives: The aim of this study was to investigate the botanical characteristics, D A barcodes of Cam sũng for exact botanical identification and to evaluate of some pharmacological activities of the extract from the leaves. |
Methods: The samples collected from Tinh Bien, An Giang province (04/2019) were described the morphological and anatomical characteristics; analyzed the chloroplast DNA barcode on ITS region. |
Antioxidant activity was evaluated by DPPH test, antibacterial test was evaluated on five pathogenic bacteria species using agar well diffusion method; anti inflammatory activity was accessed by lipopolysaccharide-induced production of Nitric oxide in RAW 264.7 macrophages method. |
Results: Cam sũng (ưỡi nhân) was identified as Sauropus spatulifolius Beille based on morphological characteristics and DNA barcode. |
50% ethanolic extract of the leaves presented the highest antioxidant activity with IC50 = 20.76 μg / ml. The EtOAc and water fractions from 50% ethanolic extract had mild antibacterial activity, EtOAc fraction showed a good anti-inflammatory activity with IC50 = 12.05 μg / mL. |
Conclusion: The study confirmed the scientific name of "Cam sũng" in Viet am is auropus spatulifolius Beille (Euphorbiaceae). |
The result of bioactive testing rationalized the usages of this plant. |
Application of free flaps in reconstruction defects after head and cancer resection at NHOS |
Cytochrome P450 3A5 (CYP) belongs to the CYP3A cluster, which encode for several enzymes involved in metabolism of various drugs, endogenous substrates as well as exogenous compounds. |
Among the four genes of CY3A cluster, CYP3A5 plays an important role in pharmacogenetics since this enzyme metabolizes over 30% of the clinically prescribed drugs. |
The inter-individual variability in clearance of CYP3A substrates mainly depends on the genetic factors. |
It was shown that CYP3A5 * 3 is the most prevalent variant with 67.5%, in which a haft of individuals carrying * 3 were homozygous for this allele. |
In contrast, the variants * 6, * 8 and * 9 were not found the study subjects. |
The data observed in current study would support dosing of drugs that metabolized by CYP3A5 and thereby increase treatment outcome. |
Bisphosphonate-related osteonecrosis of the jaw: A two-case report |
To evaluate the results of using free flaps in reconstruction defects after head and neck cancer resection at Hanoi National Hospital of Odonto - Stomatology. |
Methods: A retrospective, cross - sectional study on 255 patients with diagnosis of head and neck cancer. Patients were treated with en bloc resection and immediate reconstruction with free flap at NHOS from 2012 - 2022. |
Results: 255 free flaps were used in tissue reconstruction after head and neck cancer resection. |
Including 134 fibula flaps, 99 lateral arm flaps, 17 anterolateral thigh flaps and 5 cases using the complex of fibula - anterolateral thigh flaps in reconstruction defects after cancer resection. |
Success rate 250/255 (98.03%) cases. |
Conclusion: Using flexible free flaps can restore essential functions and aesthetics of the maxillofacial region, improve the quality of life of patients in head and neck cancer treatment. |
Incidence, characteristics, risk factors and effects of acute kidney injury in severe and critical Covid-19 patients |
Osteonecrosis of the jaw is a complication of osteoporosis treatment by bisphosphonate, which can cause serious issues for patients. |
This is a rare complication with unspecific symptoms and signs, and so makes it difficult to diagnose at early stage. |
Thus, leads to severe jaw destruction and needs to operate. In Hanoi Medical University hospital, we had two patients who diagnosed with oral bisphosphonate-related osteonecrosis of the jaw. Both patients were under operation to remove death bone and brought good results. |
The working motivation of nursing care of Covid-19 and some related factors at Duc Giang general hospital in 2022 |
This study aimed to describe the characteristics and to determine the incidence, risk factors and effects of acute kidney injury (AKI) in severe and critical COVID-19 patients. |
Conclusions: AKI was common in severe and critical COVID-19 patients and associated with increased disease severity, prolonged hospital stay and higher mortality. |
The AKI incidence was 59.8%, among which stage 2 of 13.8% and stage 3 of 23.6%. |
Cytokine score and colistin use were independently related to the occurrence of AKI. |
Gravity model to estimate factors affecting Vietnam’s rice exports: From the approach of demand side |
To describe the working motivation of nurses taking care of COVID-19 patients and some related factors at Duc Giang General Hospital in 2022. |
Subjects and methods: Cross-sectional description, over 93 nurses directly taking care of COVID-19 patients, conducted from January to March 2022 at Duc Giang General Hospital. |
Results: The percentage of nurses who are highly motivated to work is 73.1%. |
There is a relationship between gender, age, monthly income, management's attention, management and stability, job safety recorded with achievements and work motivation of nurses (p< 0.05). |
Conclusion: The work motivation of nurses taking care of COVID-19 patients at Duc Giang General Hospital is quite high. |
Hospitals need to take measures to maintain and promote the work motivation of nurses on the basis of research results to improve hospital quality. |
Diversity of medicinal plant in Kon Chu Rang nature reserve, Gia Lai province |